Warren Michael Wilson, IDC
Warren Michael Wilson, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1281 9th Ave Unit 524San Diego, CA 92101-4642
Phone: (812) 549-2072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1659089969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | November 7, 2022 |
| Last updated in NPPES | November 7, 2022 |
| Certification date | November 7, 2022 |
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